A surgical table includes a combination footboard and patient transfer board to facilitate more efficient handling of a patient undergoing procedures requiring movement of the patients lower body toward a perineal cutout portion of the table, and to facilitate more efficient movement of the patient to and from the surgical table. The combination board may be oriented horizontally or vertically and secured to the surgical table by multi-angular rail locks. The combination board includes a frame, a pad, and a pair of extension members secured to a common side of the board. The invention also includes a method of supporting a patient that is transported from a first location to a second location on the surgical table utilizing the combination board.